Modern Surgery Meets an Old Procedure: Laparoscopic Surgery for Peptic Ulcer Disease

We present a case of laparoscopic treatment of peptic ulcer disease. The patient had history of peptic ulcer disease refractory to medical treatment with pyloric stenosis that required multiple endoscopic dilatations. She also had hiatal hernia with reflux symptoms. We performed laparoscopic truncal vagotomy, hiatal hernia repair and subtotal gastrectomy with Billroth II reconstruction. This procedure represented the gold standard treatment for chronic peptic ulcer disease in the pre-PPI era that now can be perforemed safely laparoscopically.